International Journal of Epidemiology, Vol 26, 381-386, Copyright © 1997 by International Epidemiological Association
JM Marin, JM Gascon, S Carrizo and J Gispert
BACKGROUND: Some data indicate that obstructive sleep apnoea syndrome
(OSAS), a disorder characterized by recurrent episodes of cessation of
respiratory airflow during sleep, is highly prevalent in the general
population but no such data exist in southern Europe. METHODS: In the
Zaragoza metropolitan area (northeast of Spain) a representative sample of
1360 subjects aged > 18 years and selected by quota methods according to
age, sex and geographical distribution agreed to participate. Trained
interviewers visited selected residents to administer a sleep questionnaire
in the presence of a bedmate or another closely-related person who lived in
the subject's home; anthropometric data and arterial blood pressure were
also recorded. All participants were invited to record nocturnal home
oximetry (NHO). The NHO results were classified as 'abnormal' (or
consistent with OSAS) in the presence of repetitive, short-duration
arterial oxyhaemoglobin saturation (SaO2) fluctuations. RESULTS: The
diagnosis of OSAS was established in subjects with loud (severe) snoring +
excessive daytime sleepiness + abnormal oximetry In the group of 1222
subjects (597 males, 625 females) who agreed to have NHO, 63.7% of men and
36.3% of women snored 'usually' or 'always' (severe snorers): daytime
sleepiness in active situations occurred in 12.1% and 14.4% respectively.
The association of severe snoring plus daytime sleepiness plus abnormal NHO
was found in 18 subjects (13 males, 5 females). CONCLUSIONS: We estimated
that among Spanish adults, 0.8% of women and 2.2% of men meet the minimal
criteria to diagnose sleep apnoea syndrome.
ARTICLES
Prevalence of sleep apnoea syndrome in the Spanish adult population
Servicio de Neumologia, Hospital Miguel Servel, Zaragoza, Spain.
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